Individual
LAVI ROHATGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4190 24TH AVE, FORT GRATIOT, MI 48059-3882
(810) 989-7777
(810) 989-7782
Mailing address
PO BOX 610669, PORT HURON, MI 48061-0669
(810) 985-1884
(810) 966-3025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301077468
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4730795
—
MI
Enumeration date
12/20/2005
Last updated
01/13/2009
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